| O. E. Ezekoye, MD, PA | |
|
1 Chisholm Trl Suite 4100 Round Rock TX 78681-5008 | |
| (512) 388-9711 | |
| Not Available |
| Full Name | O. E. Ezekoye, MD, PA |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1 Chisholm Trl, Round Rock, Texas |
| Authorized Official Name and Position | Olufunke Ezekoye (PRESIDENT) |
| Authorized Official Contact | 5123889711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| O. E. Ezekoye, MD, PA 1 Chisholm Trl Suite 4100 Round Rock TX 78681-5008 Ph: (512) 388-9711 | O. E. Ezekoye, MD, PA 1 Chisholm Trl Suite 4100 Round Rock TX 78681-5008 Ph: (512) 388-9711 |
| NPI Number | 1205016672 |
|---|---|
| Provider Enumeration Date | 11/13/2007 |
| Last Update Date | 11/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205016672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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